Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,398.83	Professional		$1,230.27	$1,513.56	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,570.40	Professional		$1,698.24	$2,290.87	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,168.69	Professional		$1,148.15	$1,148.15	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,265.80	Professional		$2,290.87	$2,884.03	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,137.96 / $2,884.03	Facility		$851.14	$2,137.96	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,311.31	Professional		$1,148.15	$1,148.15	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $3,467.37	Facility		$977.24	$1,905.46	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46